Role of 15-Lipoxygenase/15-Hydroxyeicosatetraenoic Acid in Hypoxia-Induced Pulmonary Hypertension
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J Physiol Sci (2012) 62:163–172 DOI 10.1007/s12576-012-0196-9 REVIEW Role of 15-lipoxygenase/15-hydroxyeicosatetraenoic acid in hypoxia-induced pulmonary hypertension Daling Zhu • Yajuan Ran Received: 29 September 2011 / Accepted: 25 January 2012 / Published online: 14 February 2012 Ó The Physiological Society of Japan and Springer 2012 Abstract Pulmonary arterial hypertension (PAH) is a Introduction rare disease with a complex aetiology characterized by elevated pulmonary artery resistance, which leads to right Pulmonary hypertension (PH) is a severe and frequently heart ventricular afterload and ultimately progressing to fatal disease characterized by elevated mean pulmonary right ventricular failure and often death. In addition to arterial (PA) pressure greater than 25 mmHg at rest or other factors, metabolites of arachidonic acid cascade play greater than 30 mmHg with exercise [1], and which con- an important role in the pulmonary vasculature, and dis- tributes to the morbidity and mortality of adult and pedi- ruption of signaling pathways of arachidonic acid plays a atric patients with various lung and heart diseases. central role in the pathogenesis of PAH. 15-Lipoxygenase According to the Venice Classification of Pulmonary (15-LO) is upregulated in pulmonary artery endothelial Hypertension in 2003, PH is currently classified into five cells and smooth muscle cells of PAH patients, and its categories as listed in Table 1. Importantly, many of these metabolite 15-hydroxyeicosatetraenoic acid (15-HETE) in diseases or conditions are associated with persistent or particular seems to play a central role in the contractile intermittent hypoxia, either globally or regionally, within machinery, and in the initiation and propagation of cell confined areas of the lung [2]. The acute hypoxia-induced proliferation via its effects on signal pathways, mitogens, pulmonary vasoconstriction (HPV) is an important mech- and cell cycle components. Here, we focus on our impor- anism that aids in matching ventilation with perfusion by tant research into the role played by 15-LO/15-HETE, directing blood flow from poorly ventilated regions of the which promotes a proliferative, antiapoptotic, and vaso- lung to areas with normal or relatively high ventilation. constrictive physiological milieu leading to hypoxic pul- Although acute HPV benefits gas exchange and maximizes monary hypertension. oxygenation of venous blood in the pulmonary artery, sustained HPV or chronic exposure to hypoxia is a major Keywords Hypoxic pulmonary hypertension Á cause for the elevated pulmonary vascular resistance and 15-Lipoxygenase Á 15-Hydroxyeicosatetraenoic acid Á pulmonary arterial remodeling (PAR) in patients with Vasoconstriction Á Remodeling pulmonary arterial hypertension (PAH) associated with hypoxic cardiopulmonary diseases [3]. Vascular remodel- ing is characterized largely by medial hypertrophy and hyperplasia due to enhanced vascular smooth muscle cell D. Zhu (&) (VSMC) proliferation or attenuated apoptosis and endo- College of Pharmacy, Harbin Medical University-Daqing, thelial cell over-proliferation [4, 5]. However, the mecha- No. 1 Xinyang Street, High-tech Zone, Daqing 163319, Heilongjiang, People’s Republic of China nism of pulmonary vascular remodeling (PVR) and e-mail: [email protected] pulmonary hypertension is still unknown. The arachidonic acid cascade plays a vital role in D. Zhu Á Y. Ran homeostasis of the endothelium and VSMCs, and has been Biopharmaceutical Key Laboratory of Heilongjiang Province, 157 Baojian Road, Nangang District, Harbin 150081, observed in dysregulation of downstream pathways of Heilongjiang, People’s Republic of China arachidonic acid in patients with PAH and in animal 123 164 J Physiol Sci (2012) 62:163–172 Table 1 Clinical classification of pulmonary hypertension models. More and more biological data suggest that ara- Venice Classification of Pulmonary Hypertension (2003) chidonic acid metabolites of lipoxygenases (LOs) play pivotal roles in the pathological development of PAH. LOs 1. Pulmonary arterial hypertension (PAH) are a family of non-heme iron-containing enzymes which 1.1. Idiopathic (IPAH) dioxygenate polyunsaturated fatty acids to hydroperoxyl 1.2. Familial (FPAH) metabolites. As shown in Table 2, LOs mainly include 1.3. Associated with (APAH) four isoforms, 5-lipoxygenase (5-LO) [6], 8-lipoxygenase 1.3.1. Collagen vascular disease (8-LO) [7, 8], 12-lipoxygenase (12-LO) [9], and 1.3.2. Congenital systemic-to-pulmonary shunts 15-lipoxygenase (15-LO) [10], which correspond to the 1.3.3. Portal hypertension carbon position of arachidonic acid oxygenation, whereas 1.3.4. HIV infection 8-LO was not found to be expressed in human tissues. LOs 1.3.5. Drugs and toxins are involved in biosynthesis of vasoactive mediators, 1.3.6. Other (thyroid disorders, glycogen storage disease, Gaucher growth factors, adhesion molecules, and cytokines [10–12], disease, hereditary hemorrhagic telangiectasia, and hence are important targets for the atherogenesis, hemoglobinopathies, myeloproliferative disorders, splenectomy) vasoconstriction, and vascular remodeling. Moreover, 1.4. Associated with significant venous or capillary involvement LOs-derived compounds impact the metabolic character- 1.4.1. Pulmonary veno-occlusive disease (PVOD) istics of vascular cells, particularly those of endothelial 1.4.2. Pulmonary capillary hemangiomatosis (PCH) cells (EC) and smooth muscles cells (SMC) [13, 14]. In our 1.5. Persistent pulmonary hypertension of the newborn laboratory, we have reported that 15-LO/15-HETE played 2. Pulmonary hypertension with left heart disease an important role in hypoxic pulmonary hypertension 2.1. Left-sided atrial or ventricular heart disease (HPH). Therefore, this review is intended to provide a 2.2. Left-sided valvular heart disease comprehensive overview of the effect of 15-LO/15-HETE 3. Pulmonary hypertension associated with lung diseases and/or on HPH, and also to propose underlying the important hypoxemia aspects of 5-LO and 12-LO in PAH. 3.1. Chronic obstructive pulmonary disease 3.2. Interstitial lung disease 3.3. Sleep-disordered breathing Basic properties of LOs 3.4. Alveolar hypoventilation disorders 3.5. Chronic exposure to high altitude Two distinct types of 15-LO have been identified in 3.6. Developmental abnormalities humans: reticulocyte type of 15-LO-1 [15] and epidermis 4. Pulmonary hypertension owing to chronic thrombotic and/or type of 15-LO-2 [16]. 15-LO-1 was initially discovered in a embolic disease rabbit reticulocytes mass at a 75-kD, single-polypeptide 4.1. Thromboembolic obstruction of proximal pulmonary arteries chain [17]; the enzyme has a two-domain structure [18] 4.2. Thromboembolic obstruction of distal pulmonary arteries with one non-heme iron per molecule. 15-LO-2 was sub- 4.3. Nonthrombotic pulmonary embolism (tumor, parasites, sequently identified, and its expression has been reported in foreign material) human prostate, skin, and cornea [17]. Both enzymes con- 5. Miscellaneous: sarcoidosis, histiocytosis X, lymphangiomatosis, vert arachidonic acid to 15-hydroperoxyeicosatetraenoic compression of pulmonary vessels (adenopathy, tumor, fibrosing mediastinitis) acid (15(S)-HPETE). 15(S)-HPETE is unstable and can be reduced by peroxidases to the corresponding Table 2 Basic properties of LOs Gene name Alternative nomenclature Predominant enzyme products Main distribution ALOX15 15-LOX-1 15(S)-HPETE, 15(S)-HETE Reticulocyte, eosinophils, bronchial epithelial cells 15-LOX-2 15(S)-HPETE, 15(S)-HETE Prostate, skin, lung, cornea ALOX12 Platelet-type lipoxygenase 12 12(S)-HPETE, 12(S)-HETE In various cell types Epidermis-type lipoxygenase 12 12(R)-HPETE, 12(R)-HETE In various cell types Leukocyte-type lipoxygenase 12 12(S)-HPETE, 12(S)-HETE In various cell types ALOX8 8-LOX 8(S)-HPETE, 8(S)-HETE Only in mice and rats tissues ALOX5 5-LOX 5-HETE, leukotrienes In various cell types 123 J Physiol Sci (2012) 62:163–172 165 15-hydroxyeicosatetraenoic acid (15-HETE), but they share 15-HETE inhibits the activity of 5-LO and LT production only 40% amino acid homology, and there are two major by neutrophils [32–34]. The expression of 15-LO induced differences between the isozymes. The first difference is by interleukin (IL)-4 in monocytes significantly decreased that 15-LO-1 converts AA to 15(S)-HPETE (90%) and the LTB4 expression [35]. 15-HETE can inhibit neutrophil lesser amounts of 12(S)-HPETE (10%), whereas 15-LO-2 migration across cytokine-activated (interleukin-1 beta or produces exclusively 15(S)-HPETE [17]. The second dif- tumor necrosis factor-alpha) endothelium [36]. Transfec- ference is that, although both arachidonic acid and linoleic tion of rat kidney with human 15-LO can suppress acid are preferred substrates for 15-LO-1, only arachidonic inflammation [37]. According to these studies, the in vivo acid is a substrate for 15-LO-2 [19, 20]. activity of 15-LO/15-HETE may be regarded as a protec- The human 5-LO consists of 673 amino acids and a non- tive response to limit or reverse inflammatory symptoms heme iron, and the sequence is highly homologous with and to maintain basic cell function [38]. those of other mammalian LOs and soybean 15-LO [21]. Also, it has been found that 15-LO is implicated in 5-LO catalyzes conversion of arachidonic acid to leukotri- the maturation of rabbit reticulocytes by inhibiting ene (LT) A4, which can be subsequently converted into the mitochondria degradation [39–41]. 15-HETE improves the potent chemoattractant LTB4, or into cysteinyl leukotrienes proliferation